Ke ʻeha koke nei ʻoe i ka ʻeha poʻohiwi nui a me ka mae ʻana o ka lima? He Parsonage-Turner Syndrome paha kēia

Ua loaʻa koke anei iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui ma kou poʻohiwi? Ma hope o kekahi mau lā, malia paha he mau pule, e emi iki ka ʻeha, akā a laila ua manaʻo kou lima he mae a nāwaliwali? A laila e kamaʻilio mākou e pili ana i kahi mea nui paha iā ʻoe. He ʻano laha ʻole kēia e hopohopo nei i ka nui o nā kānaka. Kapa mākou iā ia ʻo Parsonage-Turner Syndrome. I kēia lā, e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka Parsonage-Turner Syndrome (PTS)?

ʻO ka Parsonage-Turner Syndrome (PTS), i kapa ʻia hoʻi he "brachial neuritis", he ʻano ia e pili ana i ka ʻōnaehana nerve. Hōʻike ʻia ia e ka ʻeha koke a koʻikoʻi ma kou poʻohiwi a me ka lima luna e like me ka hiki koke mai me ke kumu ʻole. Hiki i kēia ʻeha ke mau no nā lā a i nā pule. A laila hoʻomaka nā pilikia ʻē aʻe. I ka emi ʻana o ka ʻeha, hoʻomaka nā mākala ma kou poʻohiwi, lima, lima poʻohiwi, a i ʻole lima e nāwaliwali. Hiki i kēia nāwaliwali ke mau no nā mahina, a i ʻole nā ​​makahiki.

E noʻonoʻo he pūnaewele ko kākou o nā aʻalolo e holo ana mai ko kākou ʻāʻī ma o ko kākou mau ʻauwae a hiki i ko kākou mau lima. E like me ka papa hoʻololi nui i loko o ko kākou hale he mau uea e holo ana i kēlā me kēia lumi, hoʻouna pū kēia pūnaewele o nā aʻalolo i nā hōʻailona i kēlā me kēia ʻāpana o ko kākou mau lima. Kāhea mākou i kēia pūnaewele o nā aʻalolo ʻo ka `(brachial plexus)`. I ka Parsonage-Turner Syndrome, ua hōʻino ʻia kēia pūnaewele `(brachial plexus)` o nā aʻalolo. ʻOi loa aku ka hōʻino ʻia o nā aʻalolo e hoʻomalu ana i ka neʻe ʻana. ʻO ia ke kumu, ma hope o ka ʻeha, aia kahi manaʻo o ka mae a me ka nāwaliwali i nā lima.

No ka mea he mea kākaʻikahi kēia ʻano, hiki i nā kauka ke huikau iā ia me nā ʻano maʻamau ʻē aʻe. No ka laʻana, hiki ke kuhi hewa ʻia he radiculopathy cervical a i ʻole cervical spondylosis, no ka mea, ua like nā hōʻailona.

ʻEkolu pae o kēia maʻi.

ʻO ka maʻamau, ulu kēia maʻi i ʻekolu mau pae. ʻAʻole e loaʻa i nā kānaka a pau kēia ʻano, akā ʻo kēia ke ʻano a ka hapa nui o ka poʻe e ʻike ai.

Pae 1: Pae ʻeha koʻikoʻi

ʻO kēia ke kahua mua. I ka manawa koke, hoʻomaka kahi ʻeha ʻoi, pinepine ma kekahi poʻohiwi. Hiki i kēia ʻeha ke mau mai kekahi mau lā a i kekahi mau pule. Ua ʻōlelo nui ʻia ʻo ka lōʻihi o kēia wā ʻeha, ʻo ka lōʻihi o ka manawa e hoʻōla piha ai.

Pae 2: Nāwaliwali o nā ʻiʻo

Ma hope o ka emi mālie ʻana o ka ʻeha, hoʻomaka ka lua o ka pae. Maanei e hoʻomaka ai nā ʻiʻo ma ka poʻohiwi a me ka lima e nāwaliwali. Lilo i mea paʻakikī ke hāpai i ka lima a hāpai paha i nā mea kaumaha. I ka hala ʻana o ka manawa, hiki i nā ʻiʻo ke mae ma muli o ka hoʻohana ʻole ʻia. Hiki i kēia pae ke mau mai ʻeono a 18 mau mahina, i kekahi manawa ʻoi aku ka lōʻihi.

Pae 3: Hoʻōla hou ʻana

ʻO kēia ka pae hoʻōla. Ma hope o kekahi manawa, e hoʻomaka mālie kou mau ʻiʻo e loaʻa hou ka ikaika. E hoʻi mālie kou lima i ka hana maʻamau.

Pehea ka maʻamau o kēia ʻano?

He maʻi laha ʻole ka Parsonage-Turner Syndrome. Wahi a nā helu helu, ʻekolu wale nō kānaka o kēlā me kēia haneli tausani e loaʻa i kēia maʻi i kēlā me kēia makahiki. No laila, ʻaʻohe pono e hopohopo no ia mea i kēlā me kēia manawa e ʻeha ai kou poʻohiwi.

ʻOiai hiki ke ulu aʻe i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā kāne . ʻIke pinepine ʻia ma kahi o 40-45 mau makahiki.

He aha nā hōʻailona maoli?

ʻO nā hōʻailona nui ʻelua he ʻeha koke a koʻikoʻi i ukali ʻia e ka nāwaliwali o nā ʻiʻo. Hiki i kēia mau hōʻailona ke hoʻopilikia i nā wahi āpau o kou poʻohiwi, lima luna, lima poʻohiwi, a i ʻole lima.

E nānā kākou pehea e laha pinepine ai nā hōʻailona.

No ke aha lā kēia e hana nei? He aha ke kumu o kēia?

ʻO kaʻoiaʻiʻo, ʻaʻole i ʻike nā kānaka noiʻi i ke kumu pololei o kēia. Akā, ʻo ka manaʻo nui, ua hoʻokumu ʻia ia e kahi pane kūlohelohe ʻole i loko o ko kākou kino.

I ka ʻōlelo maʻalahi, ke komo mai kahi germ, e like me ka virus a bacteria paha, e hakakā ana kā mākou ʻōnaehana pale iā ia. Akā i kekahi manawa, i loko o kēia hakakā, hana hewa kā mākou ʻōnaehana pale a hoʻouka i kahi ʻāpana olakino o ko mākou kino ponoʻī, ʻo ia hoʻi ka pūnaewele nerve "brachial plexus". ʻO ia ka manawa e hōʻino ʻia ai kēia mau aʻalolo a ʻike ʻia nā hōʻailona.

I ka manawa pinepine, ua hele mua ʻia kēia kūlana e kahi maʻi viral hou. Eia kekahi laʻana:

• ʻO ka maʻi Coxsackie B
• HIV (Human Immunodeficiency Virus)
• ʻO ka maʻi ʻelima (parvovirus B19)
• Nā ʻūpā

Akā i kekahi manawa hiki ke ulu aʻe me ke kumu ʻole. He mea kākaʻikahi loa, hiki ke hana ʻia e kahi kūlana genetic i kapa ʻia ʻo hereditary neuralgic amyotrophy.

Nā mea e hoʻonui ai i ka pilikia o kēia maʻi

Ua ʻike ʻia e hiki i kekahi mau hanana a i ʻole nā ​​​​kūlana olakino ke hoʻonui iki i ka pilikia o ka hoʻomohala ʻana i ka Parsonage-Turner Syndrome.

• ʻO ke ʻoki kino a i ʻole ka anesthesia i hala koke aku nei
• Nā maʻi pili pili - e.g. ʻO ka maʻi Ehlers-Danlos
• Nā kūlana autoimmune - e.g. lupus
• He ulia i ka poʻohiwi
• Nā hoʻomaʻamaʻa e kau ai i ka nui o ke kaumaha ma nā poʻohiwi
• Kekahi mau ʻano lāʻau pale
• Ka hāpai ʻana a me ka hānau keiki ʻana
• Hoʻōla radiation
• Hoʻāʻo ʻoki lumbar

Pehea e ʻike ai ke kauka i kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻike mua i kāu kauka. E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino. A laila, e hana lākou i kahi hoʻokolokolo kino e nānā i nā ʻiʻo o kou lima, ka manaʻo, a me nā reflexes. E kuhikuhi paha lākou iā ʻoe i kahi neurologist, he kauka loea i nā pilikia nerve.

No ka hōʻoia ʻana inā he Parsonage-Turner Syndrome kēia, hiki i kāu kauka ke ʻōlelo aku i kahi hoʻokolohua kūikawā i kapa ʻia he electromyography (EMG).

Eia kekahi, hiki ke hana ʻia nā hoʻokolohua kiʻi e like me kēia e kāpae i nā kūlana ʻē aʻe a hōʻoia i ka hōʻailona:

• ʻO ke kiʻi MRI (Magnetic Resonance Imaging)
• Hoʻāʻo ultrasound aʻalolo
• ʻO kahi scan CT (Computed Tomography)

Aia kekahi lāʻau lapaʻau? He aha ka mea hiki ke hana ʻia?

ʻAʻohe lāʻau lapaʻau kūikawā a lāʻau lapaʻau paha no kēia. ʻO ka mea maikaʻi loa, ʻo ia ka hoʻopau pinepine ʻana o kēia maʻi iā ia iho i ka hala ʻana o ka manawa. Eia nō naʻe, hiki i ka ʻike mua ʻana a me ka mālama ʻana e kākoʻo i nā hōʻailona ke wikiwiki i ke kaʻina ho'ōla a loaʻa nā hopena maikaʻi aʻe.

E paipai kāu kauka i nā ʻano lāʻau like ʻole e mālama i kāu mau hōʻailona.

I ka wā koʻikoʻi

• Nā lāʻau hoʻopau ʻeha: Nā mea e like me nā lāʻau hoʻopau ʻeha maʻamau (NSAID).
• ʻO nā Corticosteroids Waha: He ʻano lāʻau lapaʻau i hāʻawi ʻia e kāohi i ka mumū o nā aʻalolo a me ka hana o ka ʻōnaehana pale.
• Ka hoʻopaʻa ʻana i ka lima: E hoʻomaha i kou lima, malia paha me ka hoʻohana ʻana i kahi mea e like me ka mea hoʻopaʻa poʻohiwi.
• TENS (Transcutaneous Electrical Alerve Stimulation): He ʻano hana e kaohi ai i ka ʻeha ma ka hoʻouna ʻana i nā hōʻailona uila liʻiliʻi ma o ka ʻili.
• Acupuncture: ʻIke kekahi poʻe he mea kōkua kēia i ka hōʻoluʻolu ʻana i ka ʻeha.

Ma hope o ka emi ʻana o ka ʻeha

• Hoʻōla Kino: He mea nui loa kēia. E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻoikaika kino a me nā kīkoʻo e kōkua i ka hoʻoikaika ʻana i nā ʻiʻo i hōʻino ʻia, e pale i nā hono mai ka paʻakikī ʻana, a hoʻihoʻi i ka hana ma kou lima.
• Nā lāʻau lapaʻau kūikawā no ka ʻeha o ke aʻalolo: Hiki i kekahi poʻe ke ʻeha e like me ka mumū o ke aʻalolo, ʻoiai ua emi ka ʻeha. I ia mau hihia, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau kūikawā e like me ka gabapentin, carbamazepine, a i ʻole amitriptyline.

I nā hihia koʻikoʻi loa, i ka wā ʻaʻohe lāʻau ʻē aʻe e pono ai, hiki ke noʻonoʻo ʻia ke ʻoki ʻana (ka hoʻopili ʻana i nā aʻalolo a i ʻole ka hoʻoili ʻana o ke aʻalolo). Eia nō naʻe, he mea kākaʻikahi loa kēia.

He aha ka mea e hiki mai ana me kēia kūlana? (Wānana)

Hiki ke ʻokoʻa ke ʻano o kēia kūlana mai kēlā kanaka a kēia kanaka. No kekahi poʻe, hoʻokahi wale nō manawa e hana ʻia ai i ko lākou ola a hoʻōla loa lākou. No kekahi poʻe, hiki iā lākou ke hoʻomau i kekahi ʻano o ka nāwaliwali a ʻeha paha. No kahi poʻe liʻiliʻi, hiki ke hana hou.

Wahi a ka noiʻi, ma kahi o 89% o ka poʻe e mālama ana i ko lākou mau hōʻailona a loaʻa i ka lāʻau lapaʻau kino kūpono e hoʻōla piha i loko o ʻekolu makahiki. No kēlā mau mea, e hoʻōla ʻia he 75% i loko o ʻelua makahiki, a e hoʻōla ʻia he 36% i loko o ka makahiki mua.